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KU Card Center

Beak 'Em Bucks Refund Request

Complete this form to request a refund of your Beak 'Em Bucks account.

First Name:

Last Name:

Student / KU ID #:

Phone Number:

Mailing Address:

Email:

Reason for Refund

Graduated
Transfer
Withdrawal
Other (Explain Below)

Method of payment to Beak 'Em Bucks and the date payment was made:

E-Check (Enter Date of Payment Below)
Credit Card (Enter Date of Payment Below)

Amount to be Refunded:

Full Amount
Other Amount (Specify Below)

Refund Delivery by Check

Federal Mail to the address listed above.
Pick Up at the Student Accounts and Receivables Office.

A $15.00 administrative fee will be charged to your account to process the refund. If you have a balance owed, the refund will first be applied to your balance and any remaining funds will be refunded to you.

I understand

By typing my signature below, I attest that I am the person requesting a refund of my own Beak 'Em Bucks account funds. I understand that this electronic signature has the same legal status as a manual signature.

Submitted: April 1, 2025